Shyan Indera Jagdeo, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

309775 Issued in NY

Practice address

3224 Anchor Dr
Far Rockaway, NY 11691-1602

Phone

(718) 450-6604

Fax

(516) 531-8944

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians

Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

My Medical PCGroup PAC ID 0143610600, 93 clinicians

Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centers Home Health Revival (Bronx) Home health agency, Bronx, NY, CCN 337436
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
• Wellbound Home health agency, Brooklyn, NY, CCN 337450

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Services of Northeastern Queens PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184311441
  Medicare reassignment Care Compare group NPD
• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891
  Medicare reassignment Care Compare group NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  Medicare reassignment Care Compare group NPD
• Suffolk Primary Health, LLC

  • Primary Care Clinic/Center
  • Riverhead, NY
  • NPI 1174965727
  Medicare reassignment Care Compare group NPD
• Fresh Meadows Physician Practice PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1720775083
  Medicare reassignment NPD
• Park Avenue Pediatrics, P.C.

  • Pediatrics Physician
  • Spring Valley, NY
  • NPI 1699969543
  Medicare reassignment NPD
• Vantage Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1538642996
  Medicare reassignment NPD
• Visiting Services, LLC

  • Primary Care Clinic/Center
  • Spring Valley, NY
  • NPI 1083241392
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alpine Home Health Care LLC

  • Home Health Agency
  • Bronx, NY
  • NPI 1912179763
  Care Compare affiliation
• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Extended Nursing Personnel Chha, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1396836219
  Care Compare affiliation
• Gamzel Ny, Inc

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• Wellbound LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1518305572
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1205459534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 ANCHOR DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911602",
            "telephone_number": "718-450-6604",
            "fax_number": "516-531-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 ANCHOR DR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911602",
            "telephone_number": "718-450-6604",
            "fax_number": "516-531-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGDEO",
        "first_name": "SHYAN",
        "middle_name": "INDERA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "309775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunitha Binu Jacob, M.D.
• Helen Jacobs, MS
• Joseph Jacobs
• Mordechai Jacobs, MSW
• Rochelle A Jacobsen, LCSW
• Patrice K Jamerson
• Alfonso James
• Angelicka James
• Helen Bosede James, LPN
• Ariella Jason, LMSW

• Primary Care Nurse Practitioner in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.